Tramadol Hcl Er

• Ultram ER
• Qdolo
• Ultram
• FusePaq Synapryn

• Abstral
• Actiq
• ALfentanil HCl
• Arymo ER
• Astramorph
• AVINza
• Codeine Phosphate
• Codeine Sulfate
• ConZip
• Demerol
• DepoDur
• Dilaudid
• Dilaudid-HP
• Dolophine
• Dsuvia
• Duragesic-100
• Duragesic-12
• Duragesic-25
• Duragesic-50
• Duragesic-75
• Duramorph
• Embeda
• Exalgo
• fentaNYL
• fentaNYL Citrate
• fentaNYL Citrate (Bulk)
• fentaNYL Citrate (PF)
• fentaNYL Citrate PF
• fentaNYL Citrate-NaCl
• Fentora
• HYDROcodone Bitartrate ER
• HYDROmorphone HCl
• HYDROmorphone HCl (Bulk)
• HYDROmorphone HCl ER
• HYDROmorphone HCl PF
• HYDROmorphone HCl-NaCl
• Hysingla ER
• Infumorph 200
• Infumorph 500
• Ionsys
• Kadian
• Lazanda
• Levorphanol Tartrate
• Meperidine HCl
• Meperidine HCl-Sodium Chloride
• Meperitab
• Methadone HCl
• Methadone HCl Intensol
• Methadone HCl-NaCl
• Methadone HCl-Sodium Chloride
• Methadose
• Methadose Sugar-Free
• Mitigo
• MorphaBond ER
• Morphine Sulfate
• Morphine Sulfate (Bulk)
• Morphine Sulfate (Concentrate)
• Morphine Sulfate (PF)
• Morphine Sulfate ER
• Morphine Sulfate ER Beads
• Morphine Sulfate in Dextrose
• Morphine Sulfate-NaCl
• MS Contin
• Nucynta
• Nucynta ER
• Olinvyk
• Opana
• Opana ER
• Oxaydo
• Oxecta
• oxyCODONE HCl
• oxyCODONE HCl ER
• OxyCONTIN
• oxyMORphone HCl
• oxyMORphone HCl ER
• Qdolo
• Remifentanil HCl
• Remifentanil HCl-NaCl
• Roxicodone
• RoxyBond
• Rybix ODT
• Ryzolt
• Sublimaze
• Subsys
• SUFentanil Citrate
• SUFentanil Citrate (Bulk)
• Synapryn FusePaq
• traMADol HCl
• traMADol HCl (ER Biphasic)
• traMADol HCl ER
• TraMADol HCl ER (Biphasic)
• Ultiva
• Ultram
• Ultram ER
• Xtampza ER
• Zohydro ER

• Long Acting Capsule
• Liquid
• Tablet
• Long Acting Tablet
• Long Acting Tablet

• By mouth

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

Swallow the extended-release capsule whole. Do not crush, break, or chew it.

Swallow the extended-release tablet whole. Do not crush, break, or chew it.

Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

Drink plenty of liquids to help avoid constipation.

This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

This medicine is not right for everyone. Do not use it if you had an allergic reaction to tramadol or other narcotic medicine, or if you have stomach or bowel blockage (including paralytic ileus) or serious lung or breathing problems (including asthma, respiratory depression).

This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

Tell any doctor or dentist who treats you that you are using this medicine.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine may cause the following problems:High risk of overdose, which can lead to deathRespiratory depression (serious breathing problem that can be life-threatening)Sleep-related breathing problems (including sleep apnea, sleep-related hypoxemia)Worsening of painSerotonin syndrome (when used with certain medicines)Increased risk of seizuresAdrenal gland problemLow blood pressureUnusual change in mood or behaviorHypoglycemia (low blood sugar level)

This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully.

This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease (including cirrhosis), adrenal problems, gallstones, lung or breathing problems (including sleep apnea), diabetes, pancreas problems, or a history of head injury, seizures, drug addiction, or depression or similar emotional problems. Tell your doctor if you have phenylketonuria.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.

Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

Some forms of this medicine contain phenylalanine (aspartame).

Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days.

Some medicines can affect how tramadol works. Tell your doctor if you are using any of the following:Amiodarone, carbamazepine, cyclobenzaprine, digoxin, erythromycin, ketoconazole, lithium, metaxalone, mirtazapine, phenytoin, promethazine, rifampin, ritonavir, quinidine, trazodoneBlood thinner (including warfarin)Diuretic (water pill)Medicine to treat depression (including bupropion, fluoxetine, paroxetine, quinidine, SSRIs, TCAs)Phenothiazine medicineTriptan medicine for migraine headaches

Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are using buprenorphine, butorphanol, nalbuphine, pentazocine, or a muscle relaxer (including cyclobenzaprine, metaxalone).

Do not drink alcohol while you are using this medicine.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

Tell any doctor or dentist who treats you that you are using this medicine.

• Trouble breathing
• Blue lips, fingernails, or skin
• Changes in skin color, dark freckles, cold feeling, tiredness, weight loss
• Blistering, peeling, red skin rash
• Anxiety, restlessness, fast heartbeat, fever, muscle spasms, nausea, vomiting, diarrhea, seeing or hearing things that are not there
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Extreme dizziness, drowsiness, or weakness, shallow breathing, slow heartbeat, seizures, and cold, clammy skin
• Shaking, trembling, sweating, hunger, confusion
• Lightheadedness, dizziness, fainting
• Weakness, muscle twitching
• Worsening of pain, increased sensitivity to pain
• Unusual mood or behavior, thoughts of killing yourself or others
• Worsening of pain, increased sensitivity to pain
• Nausea, vomiting, constipation, loss of appetite
• Headache
• Dry mouth
• Weakness
• Constipation, loss of appetite, stomach upset